Provider Demographics
NPI:1336438134
Name:OCHUN REHABILITATION CENTER, INC
Entity Type:Organization
Organization Name:OCHUN REHABILITATION CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DOMINGO
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:786-235-4826
Mailing Address - Street 1:85 GRAND CANAL DR STE 306
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2569
Mailing Address - Country:US
Mailing Address - Phone:786-235-4826
Mailing Address - Fax:786-235-4827
Practice Address - Street 1:85 GRAND CANAL DR STE 306
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2569
Practice Address - Country:US
Practice Address - Phone:786-235-4826
Practice Address - Fax:786-235-4827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-01
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy